Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $218.99 / $357.38	Professional		$123.53	$218.99	$357.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $280.51 / $511.33	Professional		$150.54	$280.51	$511.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $246.47 / $439.00	Professional		$139.00	$246.47	$439.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $347.90 / $939.90	Professional		$174.94	$347.90	$939.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $163.90 / $334.24	Professional		$154.52	$163.90	$334.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.95	Professional		$32.34	$32.34	$377.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $285.80 / $508.96	Professional		$204.10	$285.80	$508.96